| Name | Nickolas Montgomery |
|---|---|
| Date | 03/11/2024 |
| Address – Must match your W-9 | 3271 LINKS MANOR DR SALEM, VA 24153 United States Map It |
| Phone | 4235052755 |
| Email hidden; Javascript is required. | |
| Date(s) services were, or are to be, provided (can be a date range or period) | 03/02/24 |
| Amount of invoice ($) | $150 |
| Services provided (Project Title / Short Description) | Workshop on Stories and Sounds |
| Services provided (details of agreement) | Location event workshop Typical pricing is $250 for a remote session. Discount of a $100 for preferred non-profit customer. |
| Invoice number (Required: This is the number the you assign for tracking.) It should correspond with your bookkeeping system.) | 03-2024 |
| Add any additional documentation, such as an agreed upon budget, project schedule, additional receipts, breakdown of costs if relevant as one PDF. | Fwd-Re-EXTERNAL-Re-EXTERNAL-Re-Two-Arts-Pop-Openings.pdf |
| For the funding the creation of new original work, artists must agree to the Terms and Conditions (above) around ownership of work created for the City. This does not apply to the presentation or exhibition of exisiting work. |
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| By typing your name, you attest to the accuracy of information submitted and agree to provide the stated services or affirm that you have provided the services described. | Nickolas Montgomery |
| STAFF USE ONLY – Processing Notes | Okay to Pay – DCJ – 35-310-8348-2010 – Arts Connect Neighbors |
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